ALB and Cachexia: One component in each of the 4 categories for the wasting syndrome (according to the ISRNM nomenclature) was retained: serum albumin <38 g/L, BMI < 23 kg/m2, serum creatinine < 818 μmol/L (for this sample of Afro-Carribean HD patients), and nPCR < 0.8 g/kg/day.